Active NPI 1043230675 Individual Practitioner Male Practitioner

Dr. Stephen Paul Loughman , OD

Optometrist • Lenexa, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Loughman, OD is a certified Optometrist practicing in Lenexa, KS. With approximately 37 years of clinical experience since graduating from University Of Houston - College Of Optometry in 1989, Dr. Loughman delivers high-quality medical care to the local community at 9238 WOODSTONE ST.

Dr. Loughman is affiliated with Somers Eye Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9238 Woodstone St

Lenexa, KS 662191958

Telephone 9134959999

Fax 9133070535

Associated Practice Facility / Clinic

🏢 Onsight Eye Care Pa Facility NPI 1770993552

Medicare Profile & Education

Medical School

University Of Houston - College Of Optometry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lenexa, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +18.9 yrs vs City Avg

City Avg: 18.1 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Lenexa, KS (751 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Loughman (37 Years) 37 Yrs

Lenexa Specialty Average (18.1 Years) 18.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	190	188	$168.75	$119.63
92250 Photography of the retina	85	84	$49.63	$34.70
99213 Established patient office or other outpatient visit, typically 15 minutes	63	46	$118.75	$87.01
92004 New patient complete exam of visual system	56	56	$225.00	$139.79
92134 Imaging of retina	46	45	$59.78	$38.15
92133 Imaging of optic nerve	17	15	$45.22	$34.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$75.00	$54.01
92083 Exam of visual field with extended testing	11	11	$81.25	$59.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	177	174	$166.92	$119.27
92250 Photography of the retina	92	91	$69.12	$34.74
92004 New patient complete exam of visual system	48	48	$220.83	$142.09
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$117.78	$85.80
92134 Imaging of retina	30	28	$66.67	$37.78
92133 Imaging of optic nerve	24	22	$61.46	$34.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$75.29	$53.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	129	128	$125.00	$119.44
99213 Established patient office or other outpatient visit, typically 15 minutes	61	54	$90.00	$86.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$65.83	$53.40
92004 New patient complete exam of visual system	40	40	$145.00	$143.26
92134 Imaging of retina	21	21	$90.00	$38.51
92133 Imaging of optic nerve	21	19	$90.00	$34.97
92083 Exam of visual field with extended testing	15	13	$130.00	$59.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$115.00	$105.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	122	$90.00	$86.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	42	$65.00	$53.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$115.00	$106.49
92014 Established patient complete exam of visual system	39	39	$125.00	$120.72
92134 Imaging of retina	28	28	$90.00	$39.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$140.00	$123.69
92012 Established patient problem focused exam of visual system	24	24	$95.00	$85.12
92133 Imaging of optic nerve	17	17	$90.00	$35.34
92004 New patient complete exam of visual system	13	13	$149.23	$132.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	166	164	$95.59	$83.72
92014 Established patient complete exam of visual system	59	59	$158.49	$121.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	37	$65.00	$42.53
92002 New patient problem focused exam of visual system	38	38	$100.00	$80.20
92004 New patient complete exam of visual system	21	21	$189.77	$144.33
92133 Imaging of optic nerve	14	12	$90.00	$35.43
92134 Imaging of retina	13	13	$90.00	$38.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	272	271	$125.00	$75.56
92004 New patient complete exam of visual system	182	182	$150.00	$94.07
92012 Established patient problem focused exam of visual system	171	165	$95.72	$80.62
92012 Established patient problem focused exam of visual system	140	139	$100.00	$49.89
92014 Established patient complete exam of visual system	134	134	$156.47	$117.59
92004 New patient complete exam of visual system	95	95	$186.00	$139.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$65.00	$41.04
92002 New patient problem focused exam of visual system	38	38	$100.00	$76.60
76514 Ultrasound scan of cornea to determine thickness	15	15	$50.00	$11.88
92134 Imaging of retina	12	12	$90.00	$37.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,089	1,046	$125.00	$73.12
92004 New patient complete exam of visual system	520	520	$150.00	$91.36
92012 Established patient problem focused exam of visual system	438	384	$100.00	$48.64
76514 Ultrasound scan of cornea to determine thickness	123	120	$50.00	$13.99
92012 Established patient problem focused exam of visual system	41	39	$96.83	$77.98
67820 Removal of eyelashes using forceps	36	21	$85.00	$38.26
92014 Established patient complete exam of visual system	27	27	$125.00	$112.80
92020 Examination of cornea and iris using lens device and slit lamp	22	19	$50.00	$19.60
92004 New patient complete exam of visual system	21	21	$150.00	$135.45
92002 New patient problem focused exam of visual system	19	19	$125.00	$44.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	17	$110.00	$62.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	881	843	$125.00	$75.10
92004 New patient complete exam of visual system	670	670	$150.00	$93.72
92012 Established patient problem focused exam of visual system	631	538	$100.00	$49.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	199	199	$110.00	$64.62
76514 Ultrasound scan of cornea to determine thickness	41	40	$50.00	$13.78
66984 Removal of cataract with insertion of lens	31	25	$250.00	$116.05
92002 New patient problem focused exam of visual system	30	30	$125.00	$45.23
92004 New patient complete exam of visual system	18	18	$150.00	$136.02
92014 Established patient complete exam of visual system	18	18	$125.00	$112.61
92012 Established patient problem focused exam of visual system	16	14	$100.00	$77.68

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO T02949

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License KS 1311

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100219730B (KS)

Commercial Insurance / Payer ID Mcr Rr

PO1389873

Hospital & Practice Group Affiliations

Somers Eye Center Inc

2790 Clay Edwards Dr, North Kansas City, MO 641163253

Phone: 8168422015

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2015

Registered at 9238 WOODSTONE ST, LENEXA, KS 662191958 (Tel: 9134959999)

📍

Updated Business Mailing Address April 13, 2015

Registered at 9238 WOODSTONE ST, LENEXA, KS 662191958 (Tel: 9134959999)

👤

Provider Name / Credentials Updated April 13, 2015

Recorded as STEPHEN LOUGHMAN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2015

Optometrist (License #T02949 in MO)

🟢

Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043230675

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 19, 2006

Last Update: April 13, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9238 Woodstone St

Lenexa, KS 662191958

Phone: 9134959999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.